TRANSITIONS IN CARE: WHAT IS THE ROLE OF PERITONEAL DIALYSIS?

摘要

For patients with chronic kidney disease who are destined for renal replacement therapy, care is a continuum punctuated by fundamental shifts in the type of care that they receive. Be it the commencement of a dialytic therapy, a switch from one treatment to another, or a derision to commence palliative care, it is clear that these represent, for many individuals, a discontinuity in care that can be perceived to be poorly managed. Why such switches area problem can be complex. What is required is a more systematic understanding of the process, with predictive tooLs to assist dinicians and patients in providing timely and organized processes.ChiarelLi and co-authors (1) lookatonesuch pointin care and explore the issues associated with it: the movement of patients from peritoneal dialysis (PD) to hemo-dia Lysis (HD). They challenge the communityinfourareas where evidence and guidance are needed.